Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10060-10494
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995

: | Status of Document: —_— Postponed in Part

Number of releases of previously postponed information: 13

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 11

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

Sapien, Seno ad

| NW 88326
| Deecid:32299502 Page 1


a0 Date: 08/20/93
Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180-10060-10494

RECORDS SERIES :
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR HSCA
FROM
TO

TITLE

10/21/76
13

DATE :
PAGES :

SUBJECTS :;:
HSCA, ADMINISTRATION
ORR, PATRICIA

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS : 3

. CURRENT STATUS : P
DATE OF LAST REVIEW : 06/04/93

OPENING CRITERIA

. COMMENTS
Box - 2.

{R] - ITEM IS RESTRICTED
| NW 88326
Dechd:32299507 Page 2

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter Cp U.S. HOUSE OF REPRESENTATIVES! (Any erasures, corrections, or changes

; ; OAkIE on this form must be initialed by the
! or Ballpoint Pen) Washington, 0.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

_| hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

jsut -
s i :

Employee Social Security Number

. 9 en faten é
15-66-27 O1 Salary Adjustment

Employing Office or Committee Subcommittee 0 Title Change

Termination (At close of business on effective date}

(1 Appointment

S48c5agSinations CJ Leave without pay (Beginning with effective date above and ending

close of business... == eee )
Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title Gross Annual Salary *

* If emoloyee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.) |
1. 0 Standing Committee: Staff—C] Clerical or 01 Professional.

2. &) Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Resin of” Sth Congress.

3. 0) Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level. Step__

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives. _

¢

anuaty 2 79
Date, Feauer ye. a we
, (Signature of Authorizing Official]
LOUIS STOKES
(if appropriate, signature of Subcommittee Chairman or Ranking Minority Membe) = type or print nome of Authorizing Official), =—SOSO*~=~<“S*~CS~=~S
CHATRMAN

mm ee ae a re ees ee as em ee ee ae ee a a ee ee ee ne

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.

APPROVED:

Office of Finance use only:
Office Code____ nefi

-.- Copy for Initiating Office or’ Committee

Type of Action .

be athe

ete . -- late . : . —— wee eee : ee ee — es soe coe eH

| NW 88326 | ee —

wwii LEY tl el be tN al al a Lente me a haere oa ame at Re ce, nos nates tabaci otto SAE tae aL ER eet, ble late aoa Sette bana


a PAYROLL AUTHORIZATION FPO ! pee
- US. HOUSE OF REPRESENTATIVES

-(Please Use ‘Typewriter:
or Ballpoint Pen)

authorizing official.)
- To the Clerk of the House of Representatives:

| hereby authorize the following. payroll action:

_ Employee Name (First-Middie-Last) | -_ Effective Date oo

Hovesber 1, 1978

Employee Social Security Number - | Type of Action = ae

DE SmBSo37 LA DO Appointment
3] Salary Adjustment

Employing Office or Committee/Subcommittee - . | O] Title Change
; 0 Termination (At close of business on effective date)
- Agsagatant ions 0 Leave without pay (Beginning with effective date above and ending

close of business
Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

a ____ Position Title | Gross Annual Salary*

$i9,700.00 |

* If emoloyee i isa civil service annuitant (includes. U.S. House. of Representatives), the gross annual salary shown should include the annuity received by the. employee
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1.0 D Stoning Committee: Staff—O] Clerical or 0 Professional.

3. C1 Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives. Set ney

SERA ne cae me nee

* poet
Roveubor 3 73 a
Dote_____ WOE BT Re Ne.
7 "(Signature of Authorizing Official) sxx... Pera,
LOgZS SPORES

(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) — - - +4 (Type or print name of Authorizing Official)

Chad eam

_ All appointments.and salary adjustments for employees under the House Classification Act and for Committee: em-
-ployees, except those of the Committee on Appropriations, the Committee on. the Budget, and- the. Joint Committees, must
_ be approved by the Committee on House Administration.

APPROVED:... _

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

(Revised: August 1, 1977)

Copy for Initiating Office or Committee . oe gee ee

(Any erasures, corrections, or changes: -
Washington, D.C.-20515 -;- on this form must be initialed by the

ge os tek,

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REC REA ASO ECTS RISO Te tS

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PAYROLL AUTHORIZATION FORM

- (Please Use Typewriter « - -U.S. HOUSE: OF: REPRESENTATIVES. _'. (Any erasures, corrections;-or changes .:: -.

oe On ., on this form must be. initialed: by the.
or Ballpoint Pen) Washington, D.C. 20515 =: authorizing official,): —_

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

| Emloyes Name (First-Middle-Last)) |. Effective Date

Patricia H e Orr . Lifi/7?
. Employee Social Security Number Z Bo -» Type of Action -

21566-2714 CT Appointment

Employing Office or Committee - ct | Eisselary Adjustment.

_ {CJ Termination (At close of business on effective date)

Assassinations

- (If type of action is an Appointment or Salary Adjustment, complete the following information.) :

. Position Title Gross Annual Salary

Senior Researcher | $18,700

(If Committee Employee, complete appropriate item below.)

1. [] Standing Committee: Staff—[_] Clerical or {J Professional.

2.4-%] Special or Select Committee: Authority—H. Res 4685 of 95th Congress,
3..[_] Joint Committee.

(If Employee of an Officer of the House, complete item below,)

- Position Number _ If applicable, Level.

2 lf applicable, Level Step.

‘| certify. that-this authorization is not in. violation. of 5° USC. 3110(b), : prohibiting the employment. of
relatives. ae ae

EE Ra Cn CRE Ee RCCL EL a SERRE RICE ELON wT EO WERT Br ROE LOT DL MOTE 2 OU ITE CENT OE LEVE TT 91 POTIONS NON ST ENE LONE LU TTR EEN TUTTE EE POTENT PUTER IE TUNIC SN TTP SEC TET SET RTI SS Oe CaO TUN CPTI area vu]

-All appointments, and salary. adjustments.for employees under. the House Classification: Act and: for;Committee ‘em: °. °°: 2
‘ployees, except .thoseof the Committee.on Appropriations, the Committee on’the Budget, and the Joint: Committees;- must a
be approved by the,Committee on House Administration. ; mk ;

APPROVED:

Chairman, Committee on House Administration.

Office of Finance use only: -

Office Code

Copy for Initiating Office or Committee:

“f - aoe ao - os tee pee tee wee te a ers cee = mee im a mmm ae

|| NW 88326 FO ae
Wi:37299502 Page 5 ‘ .


To: Thomas Howarth, ‘Budget Officer
' Date: November 7, 1977 |

| effective Novenber 1, 1977

Employee “asent Satins |
Akers ——<i‘sé«S 24«SO

Blackmer | ~~ 24,000 ©
Gay - 36,000

Hess = —.——<—s—~—~SG T=
_ McPherson ~~ 46,000

Orr, Patricia’ 17,500

| ‘NW.88326

From: G. Robert Blakey, Chief Counsel] and Staff Director RE, ove

. Rez Salary Adjustment - - one year anniversary

“Adjust the salaries of the FoNlowing individuals as “indicated

‘2: 05% Increase

$1,700

1,700 |

2,500
1,800.
1,100 —

132000

‘Devel: “39759507 - Page’ §~ cen apege pte tanya tite due yee a Mt ea ede RANE pitty gap tne tae nD RnR NS aR or era . we Sapte on keengetentein nie eglommeen vere Nt ge ;

| Me satay

oie?

$25, 700 ~~
~ 25,700 «~~

38,560 i”
27,800
U7, VOO ET
18,700"


PAYROLL. AUTHORIZATION FORM. mo _ can SO '

: «(Please Use. Typewriter «U.S. HOUSE. OF. REPRESENTATIVES. wae (Any erasures, corrections. fed by the “

a ae a 7 on this form. mus nitialed by 4

or Ballpoint. Pen) oo, Washington, D.C. 20515 - quthorizing official.) ; :

To the Clerk of the House of Representatives: ;

4

: a

‘| hereby authorize the following payroll action: -
_ -- Employee Name (First- Middle- Last). - - 4 en oe _. a 7 ‘Effective Date oo Done : . :
Patricia H. Orr | 8/4/77 4
. .. . Employee Social:Security Number: |. “Type of Action —. ce 4
215-686-2714 CJ Appointment |

Employing Office or Committee ; t a Salory Adjustment

Assassinations . [] Termination (At.close of business on effective date)

_ (If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title —— | Gross Annual Salary

Senior Researcher

ha Loe be! etait h ie a sot Re i Ra eta

(If Committee Employee, complete appropriate item below.) © 2 6. ef
1. E] Standing Committee: Staff—[-] Clerical or [_] Professional, -.- \
. . - . iY
2. [] Special-or Select Committee: Authority—H..Res.._ 485 0 f-S5€R Congress. Se no | \
a
a
3. [-] Joint Committee. - a
(If Employee of an Officer of.the House; complete.item below). re a e : : pes
j .
Position Number____-__-___ If applicable, Level... Step___ 4
‘ ;
| certify that-.this authorization is. not--in violation. of, 2 Cw. S. C. _ 3110(b), prohibiting the. employment - of +” 4
relatives. 7 Ne
Date. August 2000 1947 4
OO , : / = a “ we (Signature of Authorizing Official 3
4 LOUIS STOKES :
ff . (Type or print name of Authorizing Official) ° 3
Jo SABER |
Pa 7 ; (Title- If Member, District and State) 3
. 4
TT re a ee ee — . 4 +
- All appointments. and: salary adjustments -for employees. under.the House. Classification:Act-and-for:Committee*em- »- a &
is
Le ployees,. -except.those of the:-Committee :on:Appropriations; the, Committee on the: ‘Budget, and the Joint.Committees, ‘must; \
be approved by the Committee on.House Administration... 9 6 i... ct, \
_- APPROVED: \

Chairman, Committee on House Administration : -

Office of Finance use only:

Office Code

- Copy for Initiating Office or Committee i

NW 88326 | ae
1d:32239502 Page 7 :

_ (If type of action is an Appointment or Salary Adjustment, complete the following information.).

Position Title Gross Annual Salary

(If Employee of an Officer of the House, complete item below.)

PAYROLL AUTHORIZATION. F FORM _ = a
(Please Use Typewriter —— . ‘U: S. HOUSE OF REPRESENTATIVES ~ . (Any erasures, corrections, or changes’.
"or Ballpoint Pen) . ‘Washington, D.C. 20515 an thi form must ve initialed by the

pie taue ee banat

To the Clerk of the House of Representatives:

.L hereby authorize the following payroll action:

[ _ _ Employee Name (First-Middie-Last) See Effective Date

Patricia M. Orr S/F .

~ Employee Social Security Number : Type of Action
215 66 2774 C] Appointment

Employing Office or Committee EXSalory Adjustment —

L] Termination (At close of business on effective date)

. . foe : . - yee - at
Leta Maas sa inoisitcauscstth Meese ocd oni Me wt teal atidbadeiad ethan beth’ yy

Assaasinations

$16,000

(If Committee Employee, complete appropriate item below.)

1. [[] Standing Committee: Staff-(] Clerical or CJ Professional.
2. AI Special or Select Committee: Authority—H. Res A689 f9S7R Congress.

Oy ligtiatlataa te wend Ue th mee utile Catetaeyt hg hp dee
AALS iicta la BE ti CUE Se a li Ses pond bra te

3. [-] Joint Committee. »

Position Number_____. lf applicable, Level. ___-_ =. Step.

URN a Batch ed bos sauatates Titaaad tie ina

ett A

ae RE eee *"Gignoture of Authorizing Offical

_Lowis Stokes

ett tn SS Se ee eS ee ee rr te

(Type or print name of Authorizing Official)

aan | Chairman

- All appointments and salary: adjustments for-employees. under the House Classification Act ‘and: for Committee-em- ~~
: sployees, except. those of the Committee on Appropriations; ‘the Committee. on the. Budget, and -the: Joint Committees, ‘must 2g
be approved by the. Committee on House Administration. - - - ; - ;

APPROVED: = we a

Chairman, Committee on House Administration

Office of Finance use-only:

Office. Code

Copy for initiating Office or Committee —

NW 88326 Fr a ae mee

1d:32239502 Page 8 ‘ oo ;

eet tN

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter’ ~
or Ballpoint Pen) Washington, D.C. 20515

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

_ Employee Name (First- Middle- Last) “Effective Date

Patricia Mo. Orr Afi e??

Employee Social Security Number ~~ ; ‘Type of Action: .

215 66 2714

_ Employing Office or Committee

Assassinations

(If type of action is an Appointment or Salary Adjustment, ‘complete the following information.)

Position Title Gross Annual Salary

(If Committee Employee, complete appropriate item below.)

LJ Appointment

[H) Salary Adjustment

[] Termination (At close of business on effective date)

1. [_] Standing Committee: Staff—[[] Clerical or (_] Professional.

7 as rt
2. [4 Special or Select Committee: Authority—H. Res. 465 25th Congress. .

3. -] Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number. __:lf applicable, Level_

‘t- certify that this authorization. is: not:.in: violation of - 5 US.C. 3101, , Proniptting the employment of
relatives. . pet ae me

(Signature of Authorizing Official) :

 Louts Stokes

ye (Type or print name of Authorizing Official) _ :

a Chairman

(Title- If Member, District and State)

All appointments and salary adjustments for employees: under the House: Classification. Act and: for.-Committee -em-

» cployees, except those of the Committee on Appropriations, the Committee on the: e Budget, ‘and: the. Joint ‘Committees; must ae

be approved by the Committee on House Administration:

APPROVED:

Chairman, Committee on House Administration .

| Office of Finance use only:

Office Code

U.S. HOUSE OF REPRESENTATIVES: . - (Any erasures, corrections; or changes: ..
: on this form must be initialed. by the.
authorizing official.)

$33, 600

W 88326 ae a
1d:32239502 Page 9 : wo ;

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4

‘

pnt

PAYROLL AUTHORIZATION FORM |

- To the Clerk of the House of Representatives:

hereby authorize the following payroll action:

| _Employee Name-(First-Middle-Last) .° 2. we 7 _- Effective Date:

Patricia M. Orr
= __. Employee Social. Security Number:
215-566-2714

Employing Office or Committee —- a Salary Adjustment. .

oO Termination (At close of business on effective. date)

Type of Action

[_} Appointment

select Committee on Assassinations

_ (If type.of action is.an Appointment or Salary Adjustment, complete the following information.)

Position Title . __. Gross Annual Salary

$10. 900.

(If Committee Employee, complete appropriate item below.) :

1. [] Standing Committee: Staff—[_] Clerical or [_] Professional.

2. F ay Special or Select Committee: Authority —H. Res}! of 98 __- Congress. x
3. (_] Joint Committee.

(If Employee of an. Officer.of the House, complete item below.)

Position Number a olf applicable, Level_ :..Step___

relatives.

(Signature of Authorizing Official)

_Henry B. Gonzalez

(Type or print name of Authorizing Official) -.

chairmen

(Title—If Member, District and State) .

--be approved. by the Committee on House. Administration. :

APPROVED:

Chairman, Committee on House ‘Administration -

Office of Finance-use only:

Office Code

---.(Please:Use Typewriter). ULS. HOUSE oF. REPRESENTATIVES: ~. (Any erasures,-corrections, or: changes... J
or Ballpoint Pen) - Washington, D.C.20515 = on this form mast ye: initialed by.the

. Toe . . wt . . .
a EV EOL PaPREOE RL SF SOLCATL UCASE NG WONT FE SOOETR ERNDIN. MURAI IE DOC AA ERE TESTED TS

| certify . that. this. authorization: is .not: in. violation of .5 -U.S.C.. 3110(b), prohibiting. the. employment: of -

_ All appointments, and -salary..adjustments:for employees, under. the:-House Classification Act-and for Committee: em--: -,
-ployees, except: those: of -the. Committee on-Appropridtions, the: Committee: on the Budget, did.the Joint. Committees,;must .--

a a : . eet 4. . . . . . : . . . 1 .
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GPO : 1975 0 -:57-2

a

| PAYROLL » AUTHORIZATION N FORM. oe Boge ta
“(Please Use Typewriter 7 U: S. ‘HOUSE OF REPRESENTATIVES . _ (Any. erasures, ‘corrections, Or. ‘changes,
or Ballpoint Pen), Washington, D.C.20518 ‘Rng wa be initialed by'the

To the Clerk of the House of Representatives:

Uhereby authorize the following poral action: -
—Ennloye Name e (First “Middle Last) “Elfective bata?
“Type of Action =
: . “1D Appointment : .
: 1 Salary Adjustment - 1 _ : S, >’ . oo a bok

- -}- EA: Termination (At close of business on effective dots) _—

is. jokin “not tin Violatie employment “of.

Chairman, Commitee on House Administration

old 3336507" ‘Page 11

_ PAYROLL AUTHORIZATION FORM | | _ :
. ‘(Please Use Typewriter ~~ -\. - U. S. HOUSE OF REPRESENTATIVES - Mt (Any erasures,. corrections, or: changes.

ee pep yw. oa n this form-must-be: initialed by the .
- or Ballpoint Pen) _ _ Washington, D:€:-20515 - ~-guthorizing official) ~~

-

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action: ae!

7 Employee Name (First-Middle-Last) rn _ Effective Date ..

isi?
= Type of Action
| Appointment
, G3 Salary Adjustment aml 2itie Change
. Select Comnd ttee on Assassinatians LJ Termination (At close of business on efecive date

(If Committee Employee, complete appropriate item below.) °°:

a
;
-

wo Standing Committee: Staff—[_] Clerical or [_] Professional.:

2. Special or r Select Committeé: Authority H. Res FORO of F4ER Congress,
1 _ | ~
3. LJ Joint Committee. ee a

. Ne NG

=

‘(If Employee of an Officer of the House, complete item below.): -

Position Number____ -___.|f applicable; Level_ °

-

Date_~ ‘ Decwaber 23 ; 1978 7 - : ~

“ignature of Authorizing Official)
Thomas 4. Downine, Chairman

= . (Type or print name of Authorizing Official) ; .
. - os Select Camnitlee on Assassinations se
, ; . _ (Title—If Member, District and. State) 7
= ys, «All appointments and: salary adjustments for employees :under theHouse Classification Act and for-€ommittee em-.:

iployees, except-those-of, the:Committee: on ‘Appropriations, the ‘Committee. on-the. Budget, and the Joint= Committees;-must™
be approved by the Committee on House Administration. s _ oe :

a a, oo APPROVED: : °

Office of Finance use-only:

Office Code

Copy for Initiating Office or Commitiee

|| NW 88326 7 ae |
Docld:32239502 Page 12 : po ,

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}

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PAYROLL AUTHORIZATION

- (Please Use Typewriter
or Ballpoint Pen)

FORM.

( = ‘U.S. HOUSE OF REPRESENTATIVES \_ SY » (Any erasures,-corrections, or changes ~

Washington, D.C. 20515.

on this form must be initialed by the

authorizing official.) -

To the Clerk of the House of Representatives: S 7 °

| hereby authorize the following payroll action:.

oo Employee Name (First-Middle-Last) _ Effective Date

Hovarber 22, 1874

Patricia Mf. fer

LJ Appointment : : \

Employing Office or Committee “OU Salary Adjustment

cwesittee on Assass sina cds . , [] Termination (At close of business on ‘effective date}

\

(If type of dction is an Appointment-or Salary Adjustment, complete-the following information.)

Position Title .

(If Committee. Employee, complete appropriate item below.)

1. [{] Standing Committee: Staff— Oo Clerical or. = Professional.

2.) E | Special or Select Committee: Authority—H. Res t800 oP4Eh Congress
3. O Joint Committee.
: (If Employee of an Officer of the House, complete item below.) . ; ye
Position Number oo If applicable, Level Step. ee

7 “| certify that this authorization is not in violation’ of 5 U.S.C. 3110(b}, prohibiting the employment of
relatives. - 5 a ; D

oo ee ee ee ----- a ee ee ee a a ee L..

vf ™ (Signature of Authorizing Official) ,

5 4. Sowning, Chairman

(Type or print name of Authorizing Official)

select Cotmabb tes on Assassinations |

All appointments and: salary-adjustments for employees under the House Classification Act and for Committee em-’
ployees; except those of the Committee on Appropriations, the Committee on the Budget, and the’Joint Committees,. must
be approved by the Committee on House Administration. ; - ; é

\ . .

Chairman, Committee on House Administration

APPROVED: os

| Office of Finance use only:
Office Code

Copy for Initiating Office or Committee

| NW 88326 | ore
|| Docld:32239502 Page 13

, or changes

us. ‘HOUSE OF REPRESENTATIVES“S
or Ballpoint Pen) _ Washington, D.C. 20515

authorizing official. )

: “Tot the Clerk of the House of Representatives:

| hereby authorize he Following payroll action: 7 : S bs

Employee Name (First-Middle- Last) Effective Date

October 21, 1976 a es
. . Type of Action _ .

(y Appointment |

Pat tricia M. “Orr.

Employee Social Security Number

215-66-2714

Employing Office or Committee

(2 Salary Adjustment .

[1] Termination (At close of business on effective date) :

‘Select Committee on Assassinations

. _(If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title.

- Researcher ~ Dp id

Bse. CO

_ (If Committee Employee, complete appropriate item " below.)

koe
a O Standing Committee: Staff— [| Clerical or [_] Professional. so
2, Ee Special or r Select Committee: Authority H. Res, 1540, of 24 EHCongress |

“3. gq Joint. Committee.
o “(lf Employee of an Officer of the House, complete item below.) | BE : _— 4 . eR

ae ae SIP ane oo

‘Position Number _ If opplicable, Level

He oa certify that this authorization is’ not in “violation of 5. USC. 3110(b}, prohibiting the employment of
“orelatives. — N _ Se ; De _

. (Type or print name of Authorizing Official
Chairman

~All appointments and salary adjustments for employees under the House Classification Act ‘and for Committee « em-
“ployees, except those of the. Committee on Appropriations, the Committee on the Budget, and the Jgint Committees, must

: be e approved by the Committee on House Administration. “ fe ; _ - ee 4
ues ; : : Loo APPROVED: .__ _ fh —--! c-- ad a Re een ee _
_ : —— ; oe ae . AP AGEN, Ca terme ttt boo ee _—

Tanta

\

Office of Finance use only:

Office Code

itialed by the...

| -_ Gross Annual Salary oe

ae


MEMORANDUM.

TO: oe All Staff Employees

FROM: Budget Officer —
DATE: © January 3, 1977. 7

RE: Payroll Certification ©

Starting with the January, 1977 payroll, the certification |
to the House Finance Office requires, among other things, the |
-yelationship, if any, of each staff employee to any current
Member of Congress (those taking office January 3, i977).

The following are the relationships to be included in.
athe certification: . .

- father - nephew.” ee brother-in-law

~ mother .. miece sister-in-law yp .
.— son ee husband ..- stepfather = |
- daughter > wife stepmother, . ‘

“"\, brother father-in-law ae stepbrother. -
we Sister oe a mother-in-law .  °.. . -- stepsister -

Jo ao uncle son-in-law half-brother — : aoe _ - i.

aunt oo daughter-inlaw. - shalf-sister
first cousin a : nn ee .

All staff employees. are requested to ‘complete this —
form and return it to the Budget officer.

- Approved a
Richard | A. Sprague

“SI am not related aA |
=I am related by the following relationship. .

- 10 /
‘Signature of Biployee oe -
i . . we tae _ tee L a oo : : .. a . oe

Id: 32239502 Page 15 : oe

—— = ——

